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Relationship of suicide rates with climate and economic variables in Europe during 2000-2012

. 2016 ; 15 () : 19. [epub] 20160809

Status PubMed-not-MEDLINE Language English Country Great Britain, England Media electronic-ecollection

Document type Journal Article

BACKGROUND: It is well known that suicidal rates vary considerably among European countries and the reasons for this are unknown, although several theories have been proposed. The effect of economic variables has been extensively studied but not that of climate. METHODS: Data from 29 European countries covering the years 2000-2012 and concerning male and female standardized suicidal rates (according to WHO), economic variables (according World Bank) and climate variables were gathered. The statistical analysis included cluster and principal component analysis and categorical regression. RESULTS: The derived models explained 62.4 % of the variability of male suicidal rates. Economic variables alone explained 26.9 % and climate variables 37.6 %. For females, the respective figures were 41.7, 11.5 and 28.1 %. Male suicides correlated with high unemployment rate in the frame of high growth rate and high inflation and low GDP per capita, while female suicides correlated negatively with inflation. Both male and female suicides correlated with low temperature. DISCUSSION: The current study reports that the climatic effect (cold climate) is stronger than the economic one, but both are present. It seems that in Europe suicidality follows the climate/temperature cline which interestingly is not from south to north but from south to north-east. This raises concerns that climate change could lead to an increase in suicide rates. The current study is essentially the first successful attempt to explain the differences across countries in Europe; however, it is an observational analysis based on aggregate data and thus there is a lack of control for confounders.

2nd Psychiatric Clinic University Hospital for Active Treatment in Neurology and Psychiatry Sveti Naum Sofia Bulgaria

3rd Department of Psychiatry School of Medicine Aristotle University of Thessaloniki Thessaloniki Greece

Aristotle University of Thessaloniki Thessaloniki Greece

Centre for Epidemiology Surveillance and Health Promotion Rome Italy

Clinic of Psychiatric Faculty of Medicine Vilnius University Vilnius Lithuania

Department of Adult Psychiatry Poznan University of Medical Sciences Poznan Poland

Department of Clinical and Theoretical Mental Health Faculty of Medicine Semmelweis University Budapest Hungary ; Laboratory for Suicide Research and Prevention National Institute of Psychiatry and Addictions Budapest Hungary

Department of Clinical and Theoretical Mental Health Faculty of Medicine Semmelweis University Budapest Hungary ; Laboratory for Suicide Research and Prevention National Institute of Psychiatry and Addictions Budapest Hungary ; Department of Pharmacodynamics MTA SE Semmelweis University Budapest Hungary ; Neuropsychopharmacology and Neurochemistry Research Group Hungarian Academy of Sciences Budapest Hungary

Department of Clinical Neuroscience Karolinska Institutet Solna Sweden

Department of Clinical Psychology Faculty of Psychology and Education VU University Amsterdam Van der Boechorststraat 1 1081 BT Amsterdam The Netherlands

Department of Meteorology and Climatology School of Geology Aristotle University of Thessaloniki Thessaloniki Greece

Department of Music Studies School of Fine Arts Aristotle University of Thessaloniki Thessaloniki Greece

Department of Neurosciences Mental Health and Sensory Organs Suicide Prevention Center Sant'Andrea Hospital Sapienza University of Rome Rome Italy

Department of Psychiatry and Narcology Riga Stradins University Tvaika Str 2 Riga LV 1005 Latvia

Department of Psychiatry Ioannina School of Medicine Ioannina Greece

Department of Psychiatry Psychotherapy and Psychosomatics Center for Social Psychiatry University Hospital of Psychiatry Zurich Switzerland

Department of Psychiatry Ruhr University Bochum LWL University Hospital Alexandrinenstr 1 44791 Bochum Germany

Department of Psychiatry Sainte Marguerite Hospital 13274 Marseille France

Department of Psychiatry University Hospital Center Zagreb Zagreb Croatia

Department of Psychiatry University Hospital SNP 1 040 66 Košice Slovakia

Department of Psychiatry University of Turku Turku Finland

Division of Biological Psychiatry Department of Psychiatry and Psychotherapy Medical University of Vienna Vienna Austria

East London NHS Trust London E1 4DG UK

Estonian Swedish Mental Health and Suicidology Institute Tallinn Estonia

Faculty of Medicine University of Lisbon Av Prof Egas Moniz 1649 035 Lisbon Portugal

Institute of Mental Health School of Medicine University of Belgrade Belgrade Serbia

Institute of Mental Health WHO Collaborating Centre Palmoticeva 37 11000 Belgrade Serbia

Molecular and Cellular Therapeutics Royal College of Surgeons in Ireland Dublin 2 Ireland

National Institute of Mental Health Klecany Czech Republic

National Mental Health Center and Anti drug Bucharest Romania

NORMENT KG Jebsen Centre for Psychosis Research Institute of Clinical Medicine University of Oslo Oslo Norway ; Division of Mental Health and Addiction Oslo University Hospital Oslo Norway

Psychiatric Clinic Clinical Center of Montenegro School of Medicine University of Montenegro Podgorica Montenegro

Psychiatric Hospital Vojnik Celjska Cesta 37 Vojnik Slovenia

Psychiatric Research Unit Mental Health Centre North Zealand University of Copenhagen Dyrehavevej 48 3400 Hillerød Denmark

Psychiatry Unit Department of Clinical and Experimental Medicine University of Pisa Pisa Italy ; Institute of Behavioral Sciences G De Lisio Pisa Italy

The George Washington University School of Medicine and School of Public Health Washington DC USA

University Psychiatric Center KU Leuven Louvain Belgium

University Psychiatric Hospital Ljubljana Slovenia

See more in PubMed

World Health Organization . Financial crisis and global health: report of a high-level consultation. Geneva: WHO; 2009.

Swinscow D. Some suicide statistics. Br Med J. 1951;1(4720):1417–1423. doi: 10.1136/bmj.1.4720.1417. PubMed DOI PMC

Milner A, Page A, LaMontagne AD. Duration of unemployment and suicide in Australia over the period 1985–2006: an ecological investigation by sex and age during rising versus declining national unemployment rates. J Epidemiol Community Health. 2013;67(3):237–244. doi: 10.1136/jech-2012-201594. PubMed DOI

Morrell S, Taylor R, Quine S, Kerr C. Suicide and unemployment in Australia 1907–1990. Soc Sci Med. 1993;36(6):749–756. doi: 10.1016/0277-9536(93)90035-3. PubMed DOI

Lester D, Yang B. The relationship between divorce, unemployment and female participation in the labour force and suicide rates in Australia and America. Aust N Z J Psychiatry. 1991;25(4):519–523. doi: 10.3109/00048679109064445. PubMed DOI

Kentikelenis A, Karanikolos M, Papanicolas I, Basu S, McKee M, Stuckler D. Health effects of financial crisis: omens of a Greek tragedy. Lancet. 2011;378(9801):1457–1458. doi: 10.1016/S0140-6736(11)61556-0. PubMed DOI

Luo F, Florence CS, Quispe-Agnoli M, Ouyang L, Crosby AE. Impact of business cycles on US suicide rates, 1928–2007. Am J Public Health. 2011;101(6):1139–1146. doi: 10.2105/AJPH.2010.300010. PubMed DOI PMC

Sharp rise in suicides amid crisis.ekathimerini.com. http://www.ekathimerini.com/134431/article/ekathimerini/news/sharp-rise-in-suicides-amid-crisis (2011). Accessed 1 Aug 2016.

Economou M, Madianos M, Theleritis C, Peppou LE, Stefanis CN. Increased suicidality amid economic crisis in Greece. Lancet. 2011;378(9801):1459. doi: 10.1016/S0140-6736(11)61638-3. PubMed DOI

Stuckler D, Basu S, Suhrcke M, Coutts A, McKee M. Effects of the 2008 recession on health: a first look at European data. Lancet. 2011;378(9786):124–125. doi: 10.1016/S0140-6736(11)61079-9. PubMed DOI

Gili M, Roca M, Basu S, McKee M, Stuckler D. The mental health risks of economic crisis in Spain: evidence from primary care centres, 2006 and 2010. Eur J Pub Health. 2013;23(1):103–108. doi: 10.1093/eurpub/cks035. PubMed DOI

De Vogli R, Marmot M, Stuckler D. Excess suicides and attempted suicides in Italy attributable to the great recession. J Epidemiol Community Health. 2013;67(4):378–379. PubMed

De Vogli R, Marmot M, Stuckler D. Strong evidence that the economic crisis caused a rise in suicides in Europe: the need for social protection. J Epidemiol Community Health. 2013;67(4):298. doi: 10.1136/jech-2012-202112. PubMed DOI

Chang SS, Stuckler D, Yip P, Gunnell D. Impact of 2008 global economic crisis on suicide: time trend study in 54 countries. BMJ. 2013;347:f5239. doi: 10.1136/bmj.f5239. PubMed DOI PMC

Reeves A, Stuckler D, McKee M, Gunnell D, Chang SS, Basu S. Increase in state suicide rates in the USA during economic recession. Lancet. 2012;380(9856):1813–1814. doi: 10.1016/S0140-6736(12)61910-2. PubMed DOI

Barr B, Taylor-Robinson D, Scott-Samuel A, McKee M, Stuckler D. Suicides associated with the 2008–10 economic recession in England: time trend analysis. BMJ. 2012;345:e5142. doi: 10.1136/bmj.e5142. PubMed DOI PMC

Fountoulakis KN, Koupidis SA, Grammatikopoulos IA, Theodorakis PN. First reliable data suggest a possible increase in suicides in Greece. BMJ. 2013;347:f4900. doi: 10.1136/bmj.f4900. PubMed DOI

Economou M, Madianos M, Peppou LE, Theleritis C, Patelakis A, Stefanis C. Suicidal ideation and reported suicide attempts in Greece during the economic crisis. World Psychiatry. 2013;12(1):53–59. doi: 10.1002/wps.20016. PubMed DOI PMC

Chang SS, Gunnell D, Sterne JA, Lu TH, Cheng AT. Was the economic crisis 1997–1998 responsible for rising suicide rates in East/Southeast Asia? A time-trend analysis for Japan, Hong Kong, South Korea, Taiwan, Singapore and Thailand. Soc Sci Med. 2009;68(7):1322–1331. doi: 10.1016/j.socscimed.2009.01.010. PubMed DOI

Chang SS, Sterne JA, Huang WC, Chuang HL, Gunnell D. Association of secular trends in unemployment with suicide in Taiwan, 1959–2007: a time-series analysis. Public Health. 2010;124(1):49–54. doi: 10.1016/j.puhe.2009.11.005. PubMed DOI

Fountoulakis KN, Siamouli M, Grammatikopoulos IA, Koupidis SA, Siapera M, Theodorakis PN. Economic crisis-related increased suicidality in Greece and Italy: a premature overinterpretation. J Epidemiol Community Health. 2013;67(4):379–380. doi: 10.1136/jech-2012-201902. PubMed DOI

Fountoulakis KN, Savopoulos C, Siamouli M, Zaggelidou E, Mageiria S, Iacovides A, Hatzitolios AI. Trends in suicidality amid the economic crisis in Greece. Eur Arch Psychiatry Clin Neurosci. 2013;263(5):441–444. doi: 10.1007/s00406-012-0385-9. PubMed DOI

Fountoulakis KN, Koupidis SA, Siamouli M, Grammatikopoulos IA, Theodorakis PN. Suicide, recession, and unemployment. Lancet. 2013;381(9868):721–722. doi: 10.1016/S0140-6736(13)60573-5. PubMed DOI

Fountoulakis KN, Grammatikopoulos IA, Koupidis SA, Siamouli M, Theodorakis PN. Health and the financial crisis in Greece. Lancet. 2012;379(9820):1001–1002. doi: 10.1016/S0140-6736(12)60422-X. PubMed DOI

Nordt C, Warnke I, Seifritz E, Kawohl W. Modelling suicide and unemployment: a longitudinal analysis covering 63 countries, 2000–11. Lancet Psychiatry. 2015;2(3):239–245. doi: 10.1016/S2215-0366(14)00118-7. PubMed DOI

Fountoulakis KN, Kawohl W, Theodorakis PN, Kerkhof AJ, Navickas A, Hoschl C, Lecic-Tosevski D, Sorel E, Rancans E, Palova E, et al. Relationship of suicide rates to economic variables in Europe: 2000–2011. Br J Psychiatry. 2014;205(6):486–496. doi: 10.1192/bjp.bp.114.147454. PubMed DOI

Mann JJ, Apter A, Bertolote J, Beautrais A, Currier D, Haas A, Hegerl U, Lonnqvist J, Malone K, Marusic A, et al. Suicide prevention strategies: a systematic review. JAMA. 2005;294(16):2064–2074. doi: 10.1001/jama.294.16.2064. PubMed DOI

Tondo L, Albert MJ, Baldessarini RJ. Suicide rates in relation to health care access in the United States: an ecological study. J Clin Psychiatry. 2006;67(4):517–523. doi: 10.4088/JCP.v67n0402. PubMed DOI

Rihmer Z, Kantor Z, Rihmer A, Seregi K. Suicide prevention strategies–a brief review. Neuropsychopharmacol Hung. 2004;6(4):195–199. PubMed

Fountoulakis KN, Kawohl W, Theodorakis PN, Kerkhof AJ, Navickas A, Hoschl C, Lecic-Tosevski D, Sorel E, Rancans E, Palova E, et al. Relationship of suicide rates to economic variables in Europe: 2000-2011. Br J Psychiatry. 2014;205(6):486–496. doi: 10.1192/bjp.bp.114.147454. PubMed DOI

Christodoulou C, Douzenis A, Papadopoulos FC, Papadopoulou A, Bouras G, Gournellis R, Lykouras L. Suicide and seasonality. Acta Psychiatr Scand. 2012;125(2):127–146. doi: 10.1111/j.1600-0447.2011.01750.x. PubMed DOI

Yip PS, Yang KC. A comparison of seasonal variation between suicide deaths and attempts in Hong Kong SAR. J Affect Disord. 2004;81(3):251–257. doi: 10.1016/j.jad.2003.09.001. PubMed DOI

Valtonen H, Suominen K, Partonen T, Ostamo A, Lonnqvist J. Time patterns of attempted suicide. J Affect Disord. 2006;90(2–3):201–207. doi: 10.1016/j.jad.2005.12.004. PubMed DOI

Baydin A, Yardan T, Aygun D, Doganay Z, Nargis C, Incealtin O. Retrospective evaluation of emergency service patients with poisoning: a 3-year study. Adv Ther. 2005;22(6):650–658. doi: 10.1007/BF02849959. PubMed DOI

Kordic M, Babic D, Petrov B, Kordic J, Jelavic B, Pivic G. The meteorological factors associated with suicide. Coll Antropol. 2010;34(Suppl 1):151–155. PubMed

Preti A, Miotto P. Influence of method on seasonal distribution of attempted suicides in italy. Neuropsychobiology. 2000;41(2):62–72. doi: 10.1159/000026635. PubMed DOI

Hiltunen L, Ruuhela R, Ostamo A, Lonnqvist J, Suominen K, Partonen T. Atmospheric pressure and suicide attempts in Helsinki, Finland. Int J Biometeorol. 2012;56(6):1045–1053. doi: 10.1007/s00484-011-0518-2. PubMed DOI

Jessen G, Jensen BF, Arensman E, Bille-Brahe U, Crepet P, De Leo D, Hawton K, Haring C, Hjelmeland H, Michel K, et al. Attempted suicide and major public holidays in Europe: findings from the WHO/EURO Multicentre Study on Parasuicide. Acta Psychiatr Scand. 1999;99(6):412–418. doi: 10.1111/j.1600-0447.1999.tb00986.x. PubMed DOI

Mergl R, Havers I, Althaus D, Rihmer Z, Schmidtke A, Lehfeld H, Niklewski G, Hegerl U. Seasonality of suicide attempts: association with gender. Eur Arch Psychiatry Clin Neurosci. 2010;260(5):393–400. doi: 10.1007/s00406-009-0086-1. PubMed DOI

Aydin A, Gulec M, Boysan M, Selvi Y, Selvi F, Kadak MT, Besiroglu L. Seasonality of self-destructive behaviour: seasonal variations in demographic and suicidal characteristics in Van, Turkey. Int J Psychiatry Clin Pract. 2013;17(2):110–119. doi: 10.3109/13651501.2012.697565. PubMed DOI

Bjorksten KS, Bjerregaard P, Kripke DF. Suicides in the midnight sun—a study of seasonality in suicides in West Greenland. Psychiatry Res. 2005;133(2–3):205–213. doi: 10.1016/j.psychres.2004.12.002. PubMed DOI

Kalediene R, Starkuviene S, Petrauskiene J. Seasonal patterns of suicides over the period of socio-economic transition in Lithuania. BMC Public Health. 2006;6:40. doi: 10.1186/1471-2458-6-40. PubMed DOI PMC

Kposowa AJ, D’Auria S. Association of temporal factors and suicides in the United States, 2000–2004. Soc Psychiatry Psychiatr Epidemiol. 2010;45(4):433–445. doi: 10.1007/s00127-009-0082-9. PubMed DOI PMC

Lambert G, Reid C, Kaye D, Jennings G, Esler M. Increased suicide rate in the middle-aged and its association with hours of sunlight. Am J Psychiatry. 2003;160(4):793–795. doi: 10.1176/appi.ajp.160.4.793. PubMed DOI

Heerlein A, Valeria C, Medina B. Seasonal variation in suicidal deaths in Chile: its relationship to latitude. Psychopathology. 2006;39(2):75–79. doi: 10.1159/000090596. PubMed DOI

Corcoran P, Reilly M, Salim A, Brennan A, Keeley HS, Perry IJ. Temporal variation in Irish suicide rates. Suicide Life Threat Behav. 2004;34(4):429–438. doi: 10.1521/suli.34.4.429.53735. PubMed DOI

Doganay Z, Sunter AT, Guz H, Ozkan A, Altintop L, Kati C, Colak E, Aygun D, Guven H. Climatic and diurnal variation in suicide attempts in the ED. Am J Emerg Med. 2003;21(4):271–275. doi: 10.1016/S0735-6757(03)00039-1. PubMed DOI

Holopainen J, Helama S, Bjorkenstam C, Partonen T. Variation and seasonal patterns of suicide mortality in Finland and Sweden since the 1750s. Environ Health Prev Med. 2013;18(6):494–501. doi: 10.1007/s12199-013-0348-4. PubMed DOI PMC

Lee HC, Lin HC, Tsai SY, Li CY, Chen CC, Huang CC. Suicide rates and the association with climate: a population-based study. J Affect Disord. 2006;92(2–3):221–226. doi: 10.1016/j.jad.2006.01.026. PubMed DOI

Lester D, Moksony F. The seasonality of suicide in Hungary in the 1930s. Percept Mot Skills. 2007;105(3 Pt 1):714. PubMed

Likhvar V, Honda Y, Ono M. Relation between temperature and suicide mortality in Japan in the presence of other confounding factors using time-series analysis with a semiparametric approach. Environ Health Prev Med. 2011;16(1):36–43. doi: 10.1007/s12199-010-0163-0. PubMed DOI PMC

Lin HC, Chen CS, Xirasagar S, Lee HC. Seasonality and climatic associations with violent and nonviolent suicide: a population-based study. Neuropsychobiology. 2008;57(1–2):32–37. doi: 10.1159/000129664. PubMed DOI

Rocchi MB, Sisti D, Cascio MT, Preti A. Seasonality and suicide in Italy: amplitude is positively related to suicide rates. J Affect Disord. 2007;100(1–3):129–136. doi: 10.1016/j.jad.2006.10.003. PubMed DOI

Davis GE, Lowell WE. Evidence that latitude is directly related to variation in suicide rates. Can J Psychiatry. 2002;47(6):572–574. PubMed

Nejar KA, Bensenor IM, Lotufo PA. Sunshine and suicide at the tropic of Capricorn, Sao Paulo, Brazil, 1996–2004. Rev Saude Publica. 2007;41(6):1062–1064. doi: 10.1590/S0034-89102006005000046. PubMed DOI

Bando DH, Scrivani H, Morettin PA, Teng CT. Seasonality of suicide in the city of Sao Paulo, Brazil, 1979–2003. Rev Bras Psiquiatr. 2009;31(2):101–105. PubMed

Parker G, Gao F, Machin D. Seasonality of suicide in Singapore: data from the equator. Psychol Med. 2001;31(3):549–553. doi: 10.1017/S0033291701003294. PubMed DOI

Ajdacic-Gross V, Bopp M, Sansossio R, Lauber C, Gostynski M, Eich D, Gutzwiller F, Rossler W. Diversity and change in suicide seasonality over 125 years. J Epidemiol Community Health. 2005;59(11):967–972. doi: 10.1136/jech.2004.030981. PubMed DOI PMC

Rock D, Greenberg DM, Hallmayer JF. Increasing seasonality of suicide in Australia 1970–1999. Psychiatry Res. 2003;120(1):43–51. doi: 10.1016/S0165-1781(03)00165-3. PubMed DOI

Digon E, Bock HB. Suicides and climatology. Arch Environ Health. 1966;12(3):279–286. doi: 10.1080/00039896.1966.10664374. PubMed DOI

Souetre E, Wehr TA, Douillet P, Darcourt G. Influence of environmental factors on suicidal behavior. Psychiatry Res. 1990;32(3):253–263. doi: 10.1016/0165-1781(90)90030-9. PubMed DOI

Dixon PG, Sinyor M, Schaffer A, Levitt A, Haney CR, Ellis KN, Sheridan SC. Association of weekly suicide rates with temperature anomalies in two different climate types. Int J Environ Res Public Health. 2014;11(11):11627–11644. doi: 10.3390/ijerph111111627. PubMed DOI PMC

Deisenhammer EA, Kemmler G, Parson P. Association of meteorological factors with suicide. Acta Psychiatr Scand. 2003;108(6):455–459. doi: 10.1046/j.0001-690X.2003.00219.x. PubMed DOI

Qi X, Hu W, Mengersen K, Tong S. Socio-environmental drivers and suicide in Australia: Bayesian spatial analysis. BMC public health. 2014;14:681. doi: 10.1186/1471-2458-14-681. PubMed DOI PMC

Preti A, Lentini G, Maugeri M. Global warming possibly linked to an enhanced risk of suicide: data from Italy, 1974–2003. J Affect Disord. 2007;102(1–3):19–25. doi: 10.1016/j.jad.2006.12.003. PubMed DOI

Muller H, Biermann T, Renk S, Reulbach U, Strobel A, Kornhuber J, Sperling W. Higher environmental temperature and global radiation are correlated with increasing suicidality—a localized data analysis. Chronobiol Int. 2011;28(10):949–957. doi: 10.3109/07420528.2011.618418. PubMed DOI

Ishii N, Terao T, Araki Y, Kohno K, Mizokami Y, Arasaki M, Iwata N. Risk factors for suicide in Japan: a model of predicting suicide in 2008 by risk factors of 2007. J Affect Disord. 2013;147(1–3):352–354. doi: 10.1016/j.jad.2012.11.038. PubMed DOI

Inoue K, Nishimura Y, Fujita Y, Ono Y, Fukunaga T. The relationship between suicide and five climate issues in a large-scale and long-term study in Japan. West Indian Med J. 2012;61(5):532–537. doi: 10.7727/wimj.2010.141. PubMed DOI

Grjibovski AM, Kozhakhmetova G, Kosbayeva A, Menne B. Associations between air temperature and daily suicide counts in Astana, Kazakhstan. Medicina. 2013;49(8):379–385. PubMed

Oravecz R, Czigler B, Moore M. The transformation of suicide fluctuation in Slovenia. Arch Suicide Res. 2006;10(1):69–76. doi: 10.1080/13811110500318471. PubMed DOI

Helama S, Holopainen J, Partonen T. Temperature-associated suicide mortality: contrasting roles of climatic warming and the suicide prevention program in Finland. Environ Health Prev Med. 2013;18(5):349–355. doi: 10.1007/s12199-013-0329-7. PubMed DOI PMC

Tsai JF, Cho W. Temperature change dominates the suicidal seasonality in Taiwan: a time-series analysis. J Affect Disord. 2012;136(3):412–418. doi: 10.1016/j.jad.2011.11.010. PubMed DOI

Wang YT, Wang D, Wang XY. Suicide and meteorological factors in Huhhot, Inner Mongolia. Crisis. 1997;18(3):115–117. doi: 10.1027/0227-5910.18.3.115. PubMed DOI

Hanigan IC, Butler CD, Kokic PN, Hutchinson MF. Suicide and drought in New South Wales, Australia, 1970–2007. Proc Natl Acad Sci USA. 2012;109(35):13950–13955. doi: 10.1073/pnas.1112965109. PubMed DOI PMC

Preti A. The influence of climate on suicidal behaviour in Italy. Psychiatry Res. 1998;78(1–2):9–19. doi: 10.1016/S0165-1781(97)00154-6. PubMed DOI

Tsai JF. Socioeconomic factors outweigh climate in the regional difference of suicide death rate in Taiwan. Psychiatry Res. 2010;179(2):212–216. doi: 10.1016/j.psychres.2008.06.044. PubMed DOI

Bjorksten KS, Kripke DF, Bjerregaard P. Accentuation of suicides but not homicides with rising latitudes of Greenland in the sunny months. BMC psychiatry. 2009;9:20. doi: 10.1186/1471-244X-9-20. PubMed DOI PMC

Vyssoki B, Praschak-Rieder N, Sonneck G, Bluml V, Willeit M, Kasper S, Kapusta ND. Effects of sunshine on suicide rates. Compr Psychiatry. 2012;53(5):535–539. doi: 10.1016/j.comppsych.2011.06.003. PubMed DOI

Dixon PG, McDonald AN, Scheitlin KN, Stapleton JE, Allen JS, Carter WM, Holley MR, Inman DD, Roberts JB. Effects of temperature variation on suicide in five US counties, 1991–2001. Int J Biometeorol. 2007;51(5):395–403. doi: 10.1007/s00484-006-0081-4. PubMed DOI

Casey P, Gemmell I, Hiroeh U, Fulwood C. Seasonal and socio-demographic predictors of suicide in Ireland: a 22 year study. J Affect Disord. 2012;136(3):862–867. doi: 10.1016/j.jad.2011.09.020. PubMed DOI

Bourque F, Willox AC. Climate change: the next challenge for public mental health? Int Rev Psychiatry. 2014;26(4):415–422. doi: 10.3109/09540261.2014.925851. PubMed DOI

Kapusta ND, Tran US, Rockett IR, De Leo D, Naylor CP, Niederkrotenthaler T, Voracek M, Etzersdorfer E, Sonneck G. Declining autopsy rates and suicide misclassification: a cross-national analysis of 35 countries. Arch Gen Psychiatry. 2011;68(10):1050–1057. doi: 10.1001/archgenpsychiatry.2011.66. PubMed DOI

Moniruzzaman S, Andersson R. Relationship between economic development and suicide mortality: a global cross-sectional analysis in an epidemiological transition perspective. Public health. 2004;118(5):346–348. doi: 10.1016/j.puhe.2003.10.004. PubMed DOI

Lucey S, Corcoran P, Keeley HS, Brophy J, Arensman E, Perry IJ. Socioeconomic change and suicide: a time-series study from the Republic of Ireland. Crisis. 2005;26(2):90–94. doi: 10.1027/0227-5910.26.2.90. PubMed DOI

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